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<title>Documento sin título</title>
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<table width="666" height="941" border="2" align="center" bordercolor="#6699FF">
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    <td colspan="3"><table width="658" border="0">
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        <td width="296"><img src="../imagenes/Encabezado.png" width="296" height="199" /></td>
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    <td height="59" colspan="3" bgcolor="#0099CC"><div align="center"><strong>GESTIONAR ORDEN DE SERVICIO</strong></div></td>
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    <td width="59" rowspan="5" bgcolor="#0099FF">&nbsp;</td>
    <td width="461" bgcolor="#0099CC"><table width="100%" border="1">
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        <td>Criterio de Busqueda</td>
        <td><label>
          <select name="select" id="select">
            <option value="0">Seleccionar</option>
            <option value="1">Codigo</option>
            <option value="2">Cliente</option>
            <option value="3">Fecha</option>
            <option value="4">Destino</option>
          </select>
        </label></td>
        <td>Codigo:</td>
        <td>
          <label>
            <input type="text" name="textfield" id="textfield" />
          </label>
        </td>
      </tr>
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        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>Cliente</td>
        <td><label>
          <input type="text" name="textfield2" id="textfield2" />
          <input type="submit" name="Buscar Cliente" id="Buscar Cliente" value="Buscar Cliente" />
        </label></td>
      </tr>
      <tr>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>Fecha</td>
        <td><label>
          <input type="text" name="textfield3" id="textfield3" />
        </label></td>
      </tr>
      <tr>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>Destino</td>
        <td><label>
          <select name="select2" id="select2">
            <option value="1">Lima</option>
            <option value="2">Piura</option>
            <option value="3">Arequipa</option>
            <option value="4">Tacna</option>
            <option value="5">Iquitos</option>
          </select>
        </label></td>
      </tr>
    </table></td>
    <td width="54" rowspan="5" bgcolor="#0099CC">&nbsp;</td>
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    <td bgcolor="#0099CC"><table width="100%" border="1">
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        <td colspan="2">Solicitudes de Servicio Pendientes</td>
        <td width="31%" colspan="2"><label>
          <input type="submit" name="cargarSolicitudes" id="cargarSolicitudes" value="Cargar Solicitudes" />
        </label></td>
        </tr>
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        <td colspan="4"><table width="691" align="center">
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            <td>Codigo</td>
            <td>Cliente</td>
            <td>Fecha</td>
            <td>Destino</td>
            <td>&nbsp;</td>
          </tr>
          <tr>
            <td><label>
            0112</label></td>
            <td>Braulio Ramirez</td>
            <td>03/02/12</td>
            <td>Arequipa</td>
            <td><input type="radio" name="solicitudesPendientes" value="opción" id="solicitudesPendientes_1" /></td>
          </tr>
          <tr>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td><input type="radio" name="solicitudesPendientes" value="opción" id="solicitudesPendientes_2" /></td>
          </tr>
        </table></td>
      </tr>
    </table></td>
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    <td height="124" bgcolor="#0099CC"><table width="100%" border="1">
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        <td><table width="100%" border="1">
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            <td colspan="4">ORDEN DE SERVICIO</td>
            </tr>
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            <td>Codigo de Solicitud</td>
            <td><input type="text" name="textfield4" id="textfield4" /></td>
            <td>Fecha</td>
            <td><label>
              <input type="text" name="textfield5" id="textfield5" />
            </label></td>
          </tr>
        </table></td>
      </tr>
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        <td><table width="100%" border="1">
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            <td colspan="4">CLIENTE</td>
            </tr>
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            <td>Cliente</td>
            <td><label>
              <input type="text" name="textfield6" id="textfield6" />
            </label></td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
          </tr>
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            <td>Numero ID</td>
            <td><label>
              <input type="text" name="textfield7" id="textfield7" />
            </label></td>
            <td>Tipo ID</td>
            <td><label>
              <select name="select3" id="select3">
                <option value="1">DNI</option>
                <option value="2">RUC</option>
              </select>
            </label></td>
          </tr>
        </table></td>
      </tr>
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        <td><table width="100%" border="1">
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            <td colspan="4">DESTINATARIO</td>
            </tr>
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            <td>Destinatario</td>
            <td><label>
              <input type="text" name="textfield8" id="textfield8" />
            </label></td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
          </tr>
          <tr>
            <td>Numero ID</td>
            <td><label>
              <input type="text" name="textfield9" id="textfield9" />
            </label></td>
            <td>Tipo ID</td>
            <td><label>
              <select name="select4" id="select4">
                <option value="1">DNI</option>
                <option value="2">RUC</option>
              </select>
            </label></td>
          </tr>
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            <td>Direccion</td>
            <td><label>
              <input type="text" name="textfield10" id="textfield10" />
            </label></td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            </tr>
        </table></td>
      </tr>
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        <td><table width="100%" border="1">
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            <td width="32%">MERCADERIA</td>
            <td width="36%">&nbsp;</td>
            <td width="10%">&nbsp;</td>
            <td width="22%"><label>
              <input type="submit" name="button" id="button" value="Cotizar Servicio" />
            </label></td>
          </tr>
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            <td colspan="4"><table width="100%" border="1">
              <tr>
                <td>Producto</td>
                <td>Tipo</td>
                <td>Peso</td>
                <td>Cantidad</td>
                <td>Percio Unit.</td>
                <td>Valor</td>
              </tr>
              <tr>
                <td>Sobre Legal</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
              </tr>
              <tr>
                <td>Polos</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
              </tr>
            </table></td>
            </tr>
          <tr>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td>Sub-Total</td>
            <td><label>
              <input type="text" name="textfield11" id="textfield11" />
            </label></td>
          </tr>
          <tr>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td>Total</td>
            <td><label>
              <input type="text" name="textfield12" id="textfield12" />
            </label></td>
          </tr>
        </table></td>
      </tr>
    </table></td>
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    <td bgcolor="#0099CC">&nbsp;</td>
  </tr>
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    <td bgcolor="#0099CC"><table width="554" border="0">
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        <td width="352" bgcolor="#0099CC"><div align="center">
          <form id="form1" name="form1" method="post" action="">
            <label>
              <input type="submit" name="Submit" value="Generar Orden de Servicio" />
            </label>
          </form>
        </div></td>
        <td width="192" bgcolor="#0099CC"><div align="left">
          <form id="form2" name="form2" method="post" action="">
            <label>
              <input type="submit" name="Submit2" value="Salir" />
            </label>
          </form>
        </div></td>
      </tr>
    </table></td>
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</table>
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